West Texas A&M University Department of Nursing N3570L Health of Women and Children Preparation Assignment for Intrapartum Care Complete the following questions below and upload your responses in an rtf document to your clinical instructor (Gouldy, Denise) through WT class by 0800 Monday. The medications listed in “X” do not need to be uploaded but will be needed in the clinical setting (you may use the Med Sheet Template found in the OB folder to complete the information needed on the drugs). 1. Define the following terms: Amniotomy— medical intervention in which the amniotic sac is ruptured Breech— a position of the fetus in which the feet or buttocks present first. Not favorable for vaginal delivery. Dilatation—refers to the …show more content…
Intensity: strength of contractions at their peak (measured by subjective description, palpation and timing of contractions by a health care provider and electronic monitoring by tocometer) b. Why must the nurse monitor the uterine contraction pattern of a client in labor? It is important that the nurse monitor the uterine contraction pattern first to differentiate between false labor (Braxton Hicks) and true labor. While false labor contractions will be irregular and can be alleviated by emptying an overly full bladder, relaxing for a period, or drinking a cold glass of water, true contractions will be consistent and will not subside, but rather increase in frequency, duration and intensity. Once this distinction is made, contractions must continually be monitored because fetal well-being is assessed by monitoring fetal response (FHR) during contractions. Also, the frequency, duration and intensity of the contractions provide information about the progression of labor. 4. Fetal Heart Rate a. What is the normal baseline range of FHR? 110-160 bpm, with no periodic changes and a moderate amount of baseline variability. b. Define baseline, variability, decelerations (early, late, and variable). Baseline: average FHR for a 10 minute segment Variability: fluctuations in the FHR of 2 cycles/min or greater Decelerations: a decrease in the FHR below baseline; can be
The pharmacist must offer to discuss the unique drug therapy regimen of each Medicaid recipient when filling prescriptions for them. Each patient must be made an offer to be counseled by the pharmacist. The items to be addressed include, the name of the drug, intended use of expected action, common side effects and their avoidance, techniques for self-monitoring, proper storage, potential drug-drug or drug-food contraindications, refill
Fetal distress or birth asphyxia means that there has been a change in organ systems due to the lack of oxygen in the body. Breech delivery is when the babies buttock comes out first instead of the head during birth. “Meconium is when the baby’s first stool is passed during pregnancy into the amniotic fluid.” If the baby is born with nuchal cord this means that the umbilical cord was around the baby’s neck (http://www.lpch.org).
* Reduction of medication errors- Barcode medication administration safeguards against wrong pt/wrong med/wrong dose errors and alerts to potential medication interactions (Goth, 2006).
Right Drug: Check that these are the medicines that are on the person’s Medicine Administration Record (MAR).
The Texas Nurses Association (TNA) District one meeting for the El Paso area, took place on September 20, 2016 at 1845. The President of District one, Paula Meagher was unable to attend the meeting as she was ill. She did however provide us with a list of the current Advanced Practice Registered Nurse (APRN) issues that TNA is engaged in. The issue that really caught my attention was Texas Occupations Code, section 157.011 (b-1) which deals with APRN restrictions on writing prescriptions for Schedule two controlled substances. The TNA website states:
Another important factor is doing daily activities as tolerated. Exercise in moderation, and incorporate stretching lower and upper extremities with rest period. Also monitor daily weight daily and notify physician if any critical change. The pregnant woman will be encouraged to practice deep breathing exercises and this can be used to minimize anxieties and promote energy. This will also prepare the pregnant woman for proper fitness and endurance during delivery and caring for the newborn. These regimens mentioned will minimizes fatigues both on the mother and the developing fetus.
Note: Use the Minnesota intervention wheel as an aid in selecting the broad areas for nursing action.
Nursing research can be defined as the knowledge that is developed and built on the foundation of scientific inquiries of clinical practices (Grove and Burns, 2013). As part of the United States National Institute of Health (NIH), the National Institute of Nursing Research (NINR) was established to promote wellness and to prevent diseases, to improve the overall quality of life across populations, to eliminate disparities, and finally to set the directions for end-of-life, palliative research. This essay will explore the history of the NINR in terms of its location, dates of operation, overall purpose, mission, and Strategic Goals. The essay will then outline the NINR 's current initiatives, describe the organization 's priorities in terms of funding. Training opportunities available through the organization will also be described. Finally, the experience attained by group members through doing the assignment will be explored and summarized.
The writer explained there could be no concern for fetal or maternal health during the delivery although some obstetricians tended to induce labor in all diabetic mothers to protect babies and mothers. Moreover, labor progress was supposedly assessed by old-fashioned methods, which resulted in performing unnecessary obstetrical practices. Intervention was imposed in cases of inaccurately labeled slow or abnormal labors and failures to progress. It is common practice that a primary cesarean generally produces subsequent surgical deliveries. The author realized that cesareans were performed because of insufficient data on laboring women’s
2. Review the drug profile to identify what medications are being used and for what purpose.
D-The patient reports she is stable on her current dose and haven't experienced any withdrawals and/or cravings. The patient further mentioned that work is going okay, but still exploring other job opportunities. This writer provided positive feedback towards the patient's recovery process. In addition, the patient reports she has to do a pneumonia test as it was suggested by her PCP today. This writer requested for the patient to detailed if she's experiencing any symptoms and would like to consult with the clinic medical doctor. Based on the patient, she reports she was experiencing some backaches, but now, feels okay. During the remainder of the session, the patient discussed her plans for the Easter holiday and also shared with this writer that today is her son birthday.
A brief history of what the American Red Cross does. As one of the nation’s premier humanitarian organizations, the American Red Cross is dedicated to helping people in need throughout the United States and, in association with other Red Cross networks, throughout the world, (The American Red Cross, 2016). They depend on the many generous contributions of time, blood, and money from the American public to support their lifesaving services and programs, (The American Red Cross, 2016). The purpose of this paper is to inform you of the Red Cross’s Mission, give a description of the members, their dues, and benefits.
The American Nurses Association (ANA) is a full-service professional organization that symbolizes the interests of registered nurses through its constituent and state nurses associations. The ANA implements the nursing profession by raising high standards of nursing practice, honoring the rights of nurses in the work field, promoting a positive and realistic view of nursing, and by pushing the Congress and regulatory agencies on health care issues affecting nurses and the public. Their mission statement is, “Nurses advancing our profession to improve health for all.” Some of ANA’s main focuses are reformation of the health care system so that it delivers primary health care in the communities, growing roles for
While the MSE covers many aspects related to the clients issue, I would include additional questions to several sections. The patient is asked to report their current medication, dose, and frequency. However, they are not asked if they take any over-the-counter medications, which is important to document as it could provide inside into a problem or interact with other medications. I would edit the form to make the question ask about prescribed and over-the-counter medication. Additionally, the intake specialist would check a box to document if the medication is prescribed or
In many U.S. hospitals today the patient care that women receive during management of labor and delivery doesn’t look very evidenced based. Electronic fetal heart rate monitoring (EFM) is the most common form of intrapartal fetal assessment in the United States. We continue to see widespread use of EFM in low risk pregnancies. Electronic fetal monitoring is standard procedure despite numerous randomized controlled trials that have disproven its validity. It is routinely used, yet does not decrease neonatal morbidity or mortality compared to the use of intermittent auscultation. Intermittent auscultation of the fetal heart rate is an acceptable option for low-risk laboring women, yet it is underutilized in the hospital setting. Several expert organizations have proposed the use of intermittent auscultation as a means of promoting physiologic childbirth. So why do we use continuous EFM in the low risk pregnancy and what does the best evidence support and how can nurses apply the best available evidence to practice? As a patient advocate it is the nurses responsibility to answer these questions and provide the low-risk pregnant woman with current evidence about options for fetal heart rate assessment during labor.